Doan Hannah, Niyazi Sara, Burton April, Nibir Ikramamul, Kavaliauskas Augustas
Medicine, Lake Erie College of Osteopathic Medicine, Bradenton, USA.
Internal Medicine, AdventHealth Florida, Sebring, USA.
Cureus. 2021 Apr 27;13(4):e14713. doi: 10.7759/cureus.14713.
Lemierre's syndrome is a condition in which an oropharyngeal infection progresses to sepsis and thrombophlebitis of the internal jugular vein. Although the incidence of this syndrome has fallen dramatically since the widespread use of antibiotic therapy to treat streptococcal pharyngitis, it should still be suspected in otherwise healthy young patients presenting with the triad of prolonged pharyngitis, lateral neck pain, and septic symptoms. In this report, we explore a unique case of Lemierre's syndrome complicated by hypercoagulability and ineffective initial antibiotic therapy.
勒米尔综合征是一种口咽感染发展为败血症和颈内静脉血栓性静脉炎的病症。尽管自从广泛使用抗生素治疗链球菌性咽炎以来,该综合征的发病率已大幅下降,但对于出现咽炎持续时间延长、颈部侧方疼痛和败血症症状三联征的其他方面健康的年轻患者,仍应怀疑此病。在本报告中,我们探讨了一例并发高凝状态且初始抗生素治疗无效的勒米尔综合征的独特病例。